Closed-wedge osteotomy for osteochondritis dissecans of the capitellum - A7-to 12-year follow-up

This article details a 7- to 12-year follow-up of seven young male baseball players with osteochondritis dissecans of the capitellum that we treated u sing closed-wedge osteotomy. This procedure was established by Yoshizu in 1 986 for the treatment of "Little League elbow." The bone of the capitellum was revascularized and remodeled within 6 months in all seven patients. Six of the patients were able to return to full athletic activity and continue d to play baseball. Radiographic assessment during the follow-up study reve aled minimal osteoarthritic change and suggests that the treatment is usefu l for such an injury.